NPIMap

Organization Active NPI

Kellies Sitting Services, Inc.

  • Health Maintenance Organization
  • Boyce, LA
National Provider Identifier
1356463020
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
PCA10531 Issued in LA
Legal business name
KELLIES SITTING SERVICES, INC.
Practice address
123 Cleveland Rd
Boyce, LA 71409-9284
Phone
(318) 793-8453
Fax
(318) 793-5378
NPI assigned
Apr 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Glenda Arlene Washington
Title
Director
Phone
(318) 793-8453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X PCA10531 LA Primary

Addresses

Primary practice location

123 Cleveland Rd
Boyce, LA 71409-9284

Mailing address

123 Cleveland Rd
Boyce, LA 71409-9284
Phone (318) 793-8453

Other identifiers 1

IdentifierTypeStateIssuer
1429236MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Kellie's Sitting Services Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

123 Cleveland Rd
Boyce, LA 71409
Phone (318) 793-8453

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356463020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CLEVELAND RD",
            "city": "BOYCE",
            "state": "LA",
            "postal_code": "714099284",
            "telephone_number": "318-793-8453",
            "fax_number": "318-793-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CLEVELAND RD",
            "city": "BOYCE",
            "state": "LA",
            "postal_code": "714099284",
            "telephone_number": "318-793-8453",
            "fax_number": "318-793-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLIES SITTING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "ARLENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-793-8453",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "LA",
            "license": "PCA10531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1429236",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boyce, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.